Match the following
-Reporting items or services that are NOT actually documented in the medical record but that the coder believes were performed
A) fraud
B) assumption coding
C) upcoding
D) mutually exclusive
E) HCPCS Level II codes
F) abuse
G) unbundling
H) HCPCS Level I codes
I) HCPCS modifier
J) advance beneficiary notice

Question

Quizplus · Accepted Answer

Assumption coding is when the coder assumes that certain items or services were performed even if they are not actually documented in the medical record. This can lead to incorrect coding and potential fraud or abuse.

Match the Following -Reporting Items or Services That Are NOT Actually Documented in Actually